Proprietary Home Health Care: Joint Hearing Before the Subcommittee on Long-Term Care of the Special Committee on Aging, United States Senate, and the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, U.S. House of Representatives, Ninety-fourth Congress, First Session ... October 28, 1975U.S. Government Printing Office, 1976 - 293 pages |
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Page 3
... reimbursement before the State's denial of such licensure . We know from past experiences that local health situations and the ability to enforce against abuses vary . HEW's action would remove one of the most effective tools the States ...
... reimbursement before the State's denial of such licensure . We know from past experiences that local health situations and the ability to enforce against abuses vary . HEW's action would remove one of the most effective tools the States ...
Page 15
... reimbursed . I want to make clear the basis of my opposition to mandated licensure of commercial enterprises . I do ... reimbursement . I urge the subcom- mittees to insure that this authority not be abrogated by the proposed regulation ...
... reimbursed . I want to make clear the basis of my opposition to mandated licensure of commercial enterprises . I do ... reimbursement . I urge the subcom- mittees to insure that this authority not be abrogated by the proposed regulation ...
Page 16
... reimburse- ment and how and when these reimbursements will be made . Permit me to separately deal with each area . When a health facility or program opens for business , it applies to either the medicaid or medicare programs for ...
... reimburse- ment and how and when these reimbursements will be made . Permit me to separately deal with each area . When a health facility or program opens for business , it applies to either the medicaid or medicare programs for ...
Page 17
... reimbursement is offered at a preset rate up to total reimbursement ceiling per patient or , as New York State has done , a cost - plus formula in which all costs are reimbursed except for those specifically disallowed by a post audit ...
... reimbursement is offered at a preset rate up to total reimbursement ceiling per patient or , as New York State has done , a cost - plus formula in which all costs are reimbursed except for those specifically disallowed by a post audit ...
Page 21
... reimbursement will be dependent on the number of vouchers cashed at a particular service source . ( d ) Vouchers ... reimbursed from public funds ) , a move I hope you will explicitly outlaw . Let me spell out some of the reasons for ...
... reimbursement will be dependent on the number of vouchers cashed at a particular service source . ( d ) Vouchers ... reimbursed from public funds ) , a move I hope you will explicitly outlaw . Let me spell out some of the reasons for ...
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Common terms and phrases
abuse administrative appropriate audit August 21 California certificate of need certified Chairman chore services client committee contract Contractor cost County Agency delivery Department of Health director elderly eligible Federal fiscal for-profit home health funds Gottheiner HALAMANDARIS health aide services health care services home health agencies home health aide home health care home health services homemaker and chore homemaker services homemaker-chore services program homemaker-home health aide hospital legislation licensed licensure medicaid program medicare medicare and medicaid ment monitoring National Council nursing home nursing services participation patient payment percent persons physician professional profit proposed regulations proprietary agencies rates recipients registered nurse reimbursement Representative PEPPER require San Francisco San Francisco County Senator Moss services provided skilled nursing Social Security Social Security Act social services staff standards statement subcommittees tion title XIX title XVIII Upjohn WEIKEL welfare WILSMANN
Popular passages
Page 20 - Statistics and the National Center for Health Services Research, and the Office of Research and Statistics of the Social Security Administration, national nongovernmental associations, and state and local initiative activities, including as one example, hospital discharge abstract systems.
Page 273 - The degree of risk assumed by the contractor should influence the amount of profit or fee a contractor is entitled to anticipate. For example, where a portion of the risk has been shifted to the Government through cost-reimbursement...
Page 181 - Personal care services in a recipient's home rendered by an individual, not a member of the family, who is qualified to provide such services, where the services are prescribed by a physician in accordance with a plan of treatment and are supervised by a registered nurse.
Page 267 - Advance understandings on particular cost items. The extent of allowability of the selected items of cost covered in Subparts 1-15.2, 1-15.3, and 1-15.4 has been stated to apply broadly to many accounting systems in varying contract situations. Thus, as to any given contract, the reasonableness and allocability of certain items of cost may be difficult to determine, particularly in connection with firms or separate divisions thereof which may not be subject to effective competitive restraints.
Page 273 - Federal entity otherwise to ensure that audits are conducted of its programs and operations in accordance with the standards for audit of governmental organizations, programs, activities, and functions...
Page 193 - ... compliance. (6) Provide that execution of the single State agency provider agreement with a facility for payments under the plan shall be contingent upon certification in accordance with the provisions of paragraph (a) (1) and (2) of this section. The term of an agreement may not exceed a period of one year and the effective date of such agreement may not be earlier than the date of certification. Execution of a provider agreement shall be for the term and in accordance with the provisions of...
Page 261 - Homemaker services means home management and maintenance services, and personal care services, provided to maintain, strengthen and safeguard the functioning of eligible persons in their own homes where no responsible person is available for this purpose.
Page 197 - Chairman of the Subcommittee on Health and Long-Term Care of the House Select Committee on Aging...
Page 191 - Appendix.) (a) Standard: Assignment and duties of the home health aide. The home health aide is assigned to a particular patient by a registered nurse. Written instructions for patient care are prepared by a registered nurse or therapist as appropriate. Duties include the performance of simple procedures as an extension of therapy services, personal care, ambulation and exercise, household services essential to health care at home, assistance with medications that are ordinarily self-administered,...
Page 262 - Do not exceed the amounts reasonable and necessary to assure quality of services...